Predictors of Awareness of Pain Management Options During Labour Among Pregnant Women Attending Antenatal Care Clinic at Federal Teaching Hospital, Birnin Kebbi: A Cross-sectional Study
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Abstract
Background: The use of pain management options during labour by pregnant women remains low. Therefore, this study aims to identify the predictors of awareness of pain-relieving options among pregnant women attending the antenatal care clinic at the Federal Teaching Hospital, Birnin Kebbi.
Methodology: A cross-sectional study was conducted among 417 pregnant women selected through systematic sampling using a pretested, semi-structured questionnaire. Descriptive and inferential analyses were performed using SPSS version 27, and a p-value less than 0.05 was considered statistically significant. Awareness of specific methods of labour pain relief options was analysed as the outcome variable for logistic regression.
Result: Only about one-third of respondents were aware of methods used to relieve pain during pregnancy (124; 29.5%), and friends were the main source of their information (125; 29.8%). Massaging was the most common method identified by the respondents (232; 55.2%). Only partners’ educational status (no formal compared to secondary = AOR: 0.013, 95% CI: 0.002 – 0.095), (no formal compared to tertiary = AOR: 0.150, 95% CI: 0.025 – 0.884), gestational age at booking (First trimester compared to second = AOR: 7.999, 95% CI: 2.973 – 21.519), (First trimester compared to third = AOR: 14.987, 95% CI: 3.435 – 65.385), and previous place of delivery (home compared to hospital = AOR: 4.690, 95% CI: 1.637 – 13.439) were the significant predictors of awareness of pain management options.
Conclusion: Health-enlightening sessions should be conducted during antenatal care by trained health workers to improve awareness of pain-relieving options during labour.
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Ezeonu PO, Anozie OB, Onu FA, Esike CU, Mamah JE, Lawani LO, et al. Perceptions and practice of epidural analgesia among women attending antenatal clinic in FETHA. Int J Womens Health. 2017 Dec 12;9:905–11. doi:10.2147/IJWH.S144953
Ekweani J, Avidime S. The awareness and desirability of pain relief in labour among pregnant women in Zaria. Port Harcourt Medical Journal. 2016;10(3):115. doi:10.4103/0795-3038.197749
World Health Organization. WHO recommendations. Intrapartum care for a positive childbirth experience [Internet]. World Health Organization; 2018 [cited 2025 Dec 25]. p. 200. Available from: [https://www.who.int/publications/i/item/9789241550215](https://www.who.int/publications/i/item/9789241550215?utm_source=chatgpt.com)
Blackburn R, Mehmeti A, Russell S, Rivers F, Blott M. Intrapartum care-updated summary of NICE guidance. BMJ. 2024 Jan 29;384:p2885. doi:10.1136/bmj.p2885 PubMed PMID: 38286476.
Plante L, Gaiser R. ACOG PRACTICE BULLETIN. Replaces Practice Bulletin Number. 2017.
Blackburn R, Mehmeti A, Russell S, Rivers F, Blott M. Intrapartum care-updated summary of NICE guidance. BMJ. 2024 Jan 29;384:p2885. doi:10.1136/bmj.p2885 PubMed PMID: 38286476.
Olaleye O, Dada SO, Alabi GO. Awareness and Utilization of Obstetric Epidural Analgesia in Labour Among Pregnant Women in Wesley Guild Hospital Ilesha, Nigeria. Community Health Equity Research and Policy. 2022 Apr 1;42(3):245–52. doi:10.1177/0272684X20972839
Minzter BH, Devarajan J. Mechanisms of labor analgesia. In: Fundamentals of Pain Medicine. Springer International Publishing; 2018. p. 127–40. doi:10.1007/978-3-319-64922-1_15
Workie MM, Chekol WB, Fentie DY, Ahmed SA, Bizuneh YB. Assessment of Awareness, Attitude and Desire for Labor Analgesia and Associated Factors Among Pregnant Women in Ethiopia: A Cross-Sectional Study. Pain Ther. 2021;10:363–76. doi:10.1007/s40122
Negash TT, Sewunet A, Ayele TT. Awareness, attitude and associated factors of labor analgesia among pregnant women attending antenatal care: A cross sectional study. International Journal of Surgery Open. 2021 Oct 1;36. doi:10.1016/j.ijso.2021.100417
Omotayo R, Akinsowon O, Omotayo S. Awareness, attitude and use of labor analgesics by pregnant women at State Specialist Hospital, Akure. Trop J Obstet Gynaecol. 2019;36(2):170. doi:10.4103/tjog.tjog_92_18
Shawahna R, Khaskia D, Ali D, Hodroj H, Jaber M, Maqboul I, et al. Knowledge, attitudes, and practices of pregnant women regarding epidural analgesia: a multicentre study from a developing country. J Obstet Gynaecol (Lahore). 2024;44(1). doi:10.1080/01443615.2024.2354575 PubMed PMID: 38770655.
Aduloju O. Pain perception among parturients at a University Teaching Hospital, South-Western Nigeria. Nigerian Medical Journal. 2013;54(4):211. doi:10.4103/0300-1652.119597
Bolarinwa OA. Sample Size Estimation for Health and Social Science Researchers: The Principles and Considerations for Different Study Designs. Nigerian Postgraduate Medical Journal. Wolters Kluwer (UK) Ltd.; 2020. p. 67–75. doi:10.4103/npmj.npmj_19_20 PubMed PMID: 32295935.
Nabukenya MT, Kintu A, Wabule A, Muyingo MT, Kwizera A. Knowledge, attitudes and use of labour analgesia among women at a low-income country antenatal clinic. BMC Anesthesiol. 2015 Jul 7;15(1). doi:10.1186/s12871-015-0078-9 PubMed PMID: 26148501.
Ezeonu PO, Anozie OB, Onu FA, Esike CU, Mamah JE, Lawani LO, et al. Perceptions and practice of epidural analgesia among women attending antenatal clinic in FETHA. Int J Womens Health. 2017 Dec 12;9:905–11. doi:10.2147/IJWH.S144953
Ogboli-Nwasor E, Adaji SE, Bature SB, Shittu OS. Pain relief in labor: A survey of awareness, attitude, and practice of health care providers in Zaria, Nigeria. J Pain Res. 2011;4:227–32. doi:10.2147/JPR.S21085
Negash TT, Sewunet A, Ayele TT. Awareness, attitude and associated factors of labor analgesia among pregnant women attending antenatal care: A cross sectional study. International Journal of Surgery Open. 2021 Oct 1;36. doi:10.1016/j.ijso.2021.100417
Ponnusamy R, Kumar H, Reddy V, Murugesan R. Awareness, knowledge and attitude about labor analgesia among providers and parturients; a survey-based study. PAIN & INTENSIVE CARE [Internet]. 2018;22(1):73–80. Available from: www.apicareonline.com
Nabukenya MT, Kintu A, Wabule A, Muyingo MT, Kwizera A. Knowledge, attitudes and use of labour analgesia among women at a low-income country antenatal clinic. BMC Anesthesiol. 2015 Jul 7;15(1). doi:10.1186/s12871-015-0078-9 PubMed PMID: 26148501.
Prakash A, Yadav A, Karim H, Sahoo S, Jena P, Aman K. Knowledge, Awareness and Acceptance of Labor Analgesia among Antenatal Women in a Remote Island: A Questionnaire Based Study. Br J Med Med Res. 2017 Jan 10;21(10):1–7. doi:10.9734/bjmmr/2017/33980
Poomalar GK, Lakshmi S. Awareness of labour analgesia among antenatal women in semi urban area. Int J Reprod Contracept Obstet Gynecol. 2016;2612–7. doi:10.18203/2320-1770.ijrcog20162631
Prakash A, Yadav A, Karim H, Sahoo S, Jena P, Aman K. Knowledge, Awareness and Acceptance of Labor Analgesia among Antenatal Women in a Remote Island: A Questionnaire Based Study. Br J Med Med Res. 2017 Jan 10;21(10):1–7. doi:10.9734/bjmmr/2017/33980
Mugambe JM, Nel M, Hiemstra LA, Steinberg WJ. Knowledge of and attitude towards pain relief during labour of women attending the antenatal clinic of Cecilia Makiwane Hospital, South Africa. South African Family Practice. 2007;49(4):16. doi:10.1080/20786204.2007.10873535
Olayemi O, Aimakhu CO, Udoh ES. Attitudes of patients to obstetric analgesia at the University College Hospital, Ibadan, Nigeria. J Obstet Gynaecol (Lahore). 2003 Jan;23(1):38–40. doi:10.1080/0144361021000043209 PubMed PMID: 12623480.
Shrikrishna DG, Suhit N. Awareness and acceptance of labour analgesia in rural india. Original Research Article International Journal of Medical Research and Review [Internet]. 2016. Available from: www.ijmrr.in
Naithani U, Bharwal P, Chauhan S, Kumar D, Gupta S, Kirti. Knowledge, attitude and acceptance of antenatal women toward labor analgesia and caesarean section in a medical college hospital in India. Journal of Obstetric Anaesthesia and Critical Care. 2011;1(1):13. doi:10.4103/2249-4472.84250